Gardner, Mark Owen

Gardner, Mark Owen is an individual health care provider with primary practice located at 505 E 3Rd Ave Ste B , Spokane WA 99202-1426. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Gardner, Mark Owen can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
505 E 3Rd Ave Ste B Spokane WA 99202-1426
Phone: (509) 838-2531
Fax: (509) 755-6580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 60484207 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT60484207 Washington

Profile Details

NPI number 1225432354
LBN Legal business name Gardner, Mark Owen
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Nov 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225432354 NPPES
Washington MEDICAID 201242483WA

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